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Published in: Heart Failure Reviews 1/2013

01-01-2013

Should high-intensity-aerobic interval training become the clinical standard in heart failure?

Authors: Ross Arena, Jonathan Myers, Daniel E. Forman, Carl J. Lavie, Marco Guazzi

Published in: Heart Failure Reviews | Issue 1/2013

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Abstract

Aerobic exercise training in the heart failure (HF) population is supported by an extensive body of literature. The clinically accepted model for exercise prescription is currently moderate-intensity-aerobic continuous training (MI-ACT). Documented benefits from the literature include improvements in various aspects of physiologic function, aerobic exercise capacity and quality of life while the impact on morbidity and mortality is promising but requires further investigation. Recently, however, a body of evidence has begun to emerge demonstrating high-intensity-aerobic interval training (HI-AIT) can be performed safely with impressive improvements in physiology, functional capacity and quality of life. These initial findings have led some to question the long-standing clinical approach to aerobic exercise training in patients with HF (i.e., MI-ACT), implying it should perhaps be replaced with a HI-AIT model. This is a potentially controversial paradigm shift given the potential increase in adverse event risk associated with exercising at higher intensities, particularly in the HF population where the likelihood of an untoward episode is already at a heightened state relative to the apparently healthy population. The present review therefore addresses key issues related to HI-AIT in the HF population and makes recommendations for future research and current clinical practice.
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Metadata
Title
Should high-intensity-aerobic interval training become the clinical standard in heart failure?
Authors
Ross Arena
Jonathan Myers
Daniel E. Forman
Carl J. Lavie
Marco Guazzi
Publication date
01-01-2013
Publisher
Springer US
Published in
Heart Failure Reviews / Issue 1/2013
Print ISSN: 1382-4147
Electronic ISSN: 1573-7322
DOI
https://doi.org/10.1007/s10741-012-9333-z

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